Active NPI
Erica Marie Gabriel, DPT
- Physical Therapist
- Port St Lucie, FL
National Provider Identifier
1114203338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33374
- Practice address
- 10269 SW Ambrose Way
Port St Lucie, FL 34986-2848 - Phone
- (518) 322-5140
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 33374 | FL | |
| Physical Therapist | 225100000X | 032889 | NY | |
| Physical Therapist | 225100000X | 37459 | CA | |
| Physical Therapist | 225100000X | 33374 | FL | Primary |
Addresses
Primary practice location
10269 SW Ambrose Way
Port St Lucie, FL 34986-2848
Mailing address
10269 SW Ambrose Way
Port St Lucie, FL 34986-2848
Phone (518) 322-5140
Other practice location 1
300 Morrison St
Unit 626
Twin Falls, ID 83301-5470
Phone (518) 322-5140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33374 | FL | MD | Developmental Therapist |
| 37459 | CA | MD | Physical Therapist |
| 032889 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1114203338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10269 SW AMBROSE WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862848",
"telephone_number": "518-322-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10269 SW AMBROSE WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862848",
"telephone_number": "518-322-5140"
}
],
"practiceLocations": [
{
"address_1": "300 Morrison St",
"address_2": "Unit 626",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015470",
"country_code": "US",
"telephone_number": "518-322-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABRIEL",
"first_name": "ERICA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "33374",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032889",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37459",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "33374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.